Jeremiah D. Patrick, D.m.d., P.a. is a Endodontics Clinic in Fort Walton Beach, Florida. It is located at 207 Pelham Rd, Fort Walton Beach, FL and its contact number is 850-808-3636. The authorized person for Jeremiah D. Patrick, D.m.d., P.a. is Dr. Jeremiah Daniel Patrick
who is Ceo of the clinic and their contact number is 850-808-3636.
Jeremiah D. Patrick, D.m.d., P.a. Clinic deals with the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Complete Clinic Profile:
Jeremiah D. Patrick, D.m.d., P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jeremiah D. Patrick, D.m.d., P.a. |
| Specialization: | Endodontics |
| Clinic Address: | 207 Pelham Rd, Fort Walton Beach,
Florida, 32547-3604 |
| Phone: | 850-808-3636 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jeremiah Daniel Patrick |
| Position: | Ceo |
| Contact Number: | 850-808-3636 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jeremiah D. Patrick, D.m.d., P.a. clinic are as mentioned below.
| NPI Number: | 1154096097 |
| NPI Enumeration Date: | 12 Aug, 2021 |
| NPI Last Update On: | 02 Feb, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeremiah D. Patrick, D.m.d., P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Endodontics | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jeremiah D. Patrick, D.m.d., P.a.
207 Pelham Rd,
Fort Walton Beach, Florida |
| Zip: | 32547-3604 |
| Phone Number: | 850-808-3636 |
Patients can reach Jeremiah D. Patrick, D.m.d., P.a. at
207 Pelham Rd, Fort Walton Beach, Florida or can
call to book an appointment on 850-808-3636.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.